From: Simulation training in vitreoretinal surgery: a systematic review
Article | Year | Skills trained | Study typea | Participants | Measured outcomes | Summary of effect |
---|---|---|---|---|---|---|
Grodin et al. [29] | 2008 | Complex procedure | Single group pre-post test | 29 residents, 10 fellows, 6 surgeons | (1) Performance curves | (1) Improvement (NR) |
Jonas et al. [23] | 2003 | Complex procedure, intraocular navigation | Randomized controlled trial | 14 students or residents | (1) Skill acquisition (2) Iatrogenic damage (3) Performance curves | (1) Simulator-trained > no training (NS) (2) Simulator-trained > no training (NS) (3) Improvement* |
Rossi et al. [24] | 2004 | Complex procedure, intraocular navigation | Nonrandomized group comparison | 6 students, 24 residents, 14 surgeons | (1) Intraocular navigation (2) Performance curves (3) Skill assessment† (4) Iatrogenic damage | (1) Students < Surgeons* (2) Improvement* (3) Students < Residents*, Residents < Surgeons* (4) Students < Residents < Surgeons (NR) |
Solverson et al. [25] | 2009 | Intraocular navigation | Nonrandomized group comparison | 18 residents, 7 surgeons | (1) Intraocular navigation (2) Instrument handling (3) Skill assessment† (4) Performance curves | (1) Residents and fellows < Surgeons* (2) Residents and fellows < Surgeons* (3) Residents and fellows < Surgeons* (4) Residents and fellows improved (NR) |
Thomsen et al. [27] | 2017 | Complex procedure, intraocular navigation, instrument handling | Nonrandomized group comparison | 12 residents, 3 surgeons | (1) Skill assessment† (2) Performance curves | (1) Residents < Surgeons* (2) No difference at final, i.e. residents improved* |
Vergmann et al. [26] | 2017 | Complex procedure, intraocular navigation, instrument handling | Nonrandomized group comparison | 20 students, 10 residents, 5 surgeons | (1) Instrument handling (2) Intraocular navigation (3) Skill assessment† (4) Performance curves | (1) Students and residents < Surgeons* (2) Students and residents < Surgeons* (3) Students and residents < Surgeons* (4) Students and residents improved* |
Yeh et al. [28] | 2011 | Complex procedure, instrument handling | Single group posttest only | 8 residents, 5 fellows | (1) Survey | (1) Three of four statements‡ got positive feedback |